The influence of anaesthetic drug selection for scoliosis surgery on the management of intraoperative haemodynamic stability and postoperative pain—pharmaceutical care programme

ABSTRACTAim: The aim of this study was to conduct a pharmaceutical care programme for two different anaesthetic methods used during scoliosis surgery, to investigate which method ensured better intraoperative haemodynamic stability and postoperative pain control.Methods: A clinical pharmacist actively participated in a prospective randomised double blind study for 40 patients who had a physical status class I-II ASA, scheduled for scoliosis surgery, who were randomly allocated into two groups, 20 in each group. Both groups received midazolam preoperatively, propofol, sevuflorane, atracurium, and either remifentanil infusion 0.2 μg/kg/min for (Group 1 = G1), or the same dose of remifentanil infusion and low dose ketamine infusion 1 μg/kg/min (Group 2 = G2), antidote medications and postoperative morphine. Patients were subject to a pharmaceutical care programme. Heart rate HR, MAP, vital signs, surgical bleeding, urine output, time to accomplish the wake up test, duration of surgery and duration of anesthe...